Individual
CHASE CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
Mailing address
1501 N SHETLAND DR, FAYETTEVILLE, AR 72704-6939
(816) 668-3964
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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